FS Gift Aid

Fusion Scotland Gift Aid Form

Boost your donation by 25p of Gift Aid for every £1 you donate. This will money will be used to support the work of Fusion Scotland.
Dear Fusion Scotland
Please treat as Gift Aid donations all qualifying gifts of money made (Please tick all that you wish to apply):*

TodayIn The FutureIn The Past Four YearsSince (Up To 4 Years Ago)
Declaration
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand that Fusion Scotland will reclaim 25p of tax on every £1 that I give on or after 6 April
Name*

Prefix First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number*

Area CodePhone Number
E-mail
example@example.com
Please notify Fusion Scotland if you:

• Wish to cancel this declaration

• Change your name or home address

• No longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Fusion Scotland is a Scottish Charitable Incorporated Organisation (SCIO) regulated by the Scottish Charity Regulator(OSCR), Scottish Charity Number: SC048234. Registered Address: 89 Dumbarton Road, Partick, Glasgow, G11 6PW
Should be Empty:

Fusion Scotland Gift Aid Form

Dear Fusion Scotland

Declaration